The Hermitage
Assisted Living, Memory Care & Respite Care · North Carolina, NC

The Hermitage

Assisted Living, Memory Care & Respite Care · North Carolina, NC

Overview of The Hermitage

The Hermitage is a senior living facility located in Sylva, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life for seniors.
(828) 586-9070
Bed community size
90-bed community Rank #119 / 390Bed count — State benchmarkedThis home is ranked 119th out of 390 homes in North Carolina. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 55 / 100 Rank #110 / 572Walk Score — State benchmarkedThis home is ranked 110th out of 572 homes in North Carolina. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
71%
Rank #141 / 264Occupancy rate — State benchmarkedThis home is ranked 141st out of 264 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 264. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the North Carolina average: 76.4%
Occupied beds
64 / 90
Average occupied beds in North Carolina homes 85 beds

License Details

StatusActive
CountyJackson
License NumberHAL-050-017

Safety & Compliance

Secured Perimeter
Emergency SystemsEmergency Alert System
Safety FeaturesAdditional Security Features

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

1 service
Respite Care

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Dining & Nutrition

Food DescriptionHealthy, balanced meals prepared to meet dietary needs while offering flavor, variety, and an enjoyable dining experience.

Contact The Hermitage

Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

Since 2017 · 9 years of data 31 deficiencies 26 inspections 0 penalties 18 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2017 vs. North Carolina state average
Overall vs. NC average 1 Worse Metrics worse than North Carolina average:
• Total inspections (24% above)
5 Better Metrics better than North Carolina average:
• Total deficiencies (33% below)
• Deficiencies per year (33% below)
• Deficiencies per inspection (45% below)
• Inspections with deficiencies (5% below)
• Inspection deficiency rate (23% below)
Latest Inspection February 12, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3146 This facility has 33% fewer total deficiencies than a typical North Carolina assisted living residence (31 vs. NC avg 46).↓ 33% better
Deficiencies per year Info Average deficiencies per year since 2017. 3.45.1 This facility has 33% fewer deficiencies per year than a typical North Carolina assisted living residence (3.4 vs. NC avg 5.1).↓ 33% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.22.2 This facility has 45% fewer deficiencies per inspection than a typical North Carolina assisted living residence (1.2 vs. NC avg 2.2).↓ 45% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 2621 This facility has 24% more total inspections than a typical North Carolina assisted living residence (26 vs. NC avg 21).↑ 24% worse
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 1819 This facility has 5% fewer inspections with deficiencies than a typical North Carolina assisted living residence (18 vs. NC avg 19).↓ 5% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 69%90% This facility has 21 percentage points lower inspection deficiency rate than a typical North Carolina assisted living residence (69% vs. NC avg 90%).↓ 21% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The February 12, 2025 annual inspection found one deficiency for serving an incorrect therapeutic diet but no complaints or other citations.
  • The facility had multiple serious construction and safety deficiencies in 2018 and 2017, including compromised fire-rated walls, blocked fire doors, and unsafe electrical hazards.
  • A 2022 complaint investigation found failures in personal care and injury follow-up, and a 2020 complaint found infection control lapses increasing COVID-19 transmission risk.

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
4 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 9th (tied) of 138 homes in North Carolina See full North Carolina ranking
Division Of Health Service Rating
40/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
102.75 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Places of interest near The Hermitage

Address 0.0 miles from city center Info Estimated distance in miles from Sylva's city center to The Hermitage's address, calculated via Google Maps.

Calculate Travel Distance to The Hermitage

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Address

Financial Assistance for
Assisted Living in North Carolina

The Hermitage is located in Sylva, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Compare Assisted Living around North Carolina

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

The Hermitage
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Sylva
90
Facility 90
NC AVG 72
Rank #119 / 390
No
55
Facility 55
NC AVG 33
Rank #110 / 572
71.1%
Facility 71.1%
NC AVG 69.9%
Rank #136 / 246
-
102.75/200
Facility 102.75/200
NC AVG 92.2
Rank #72 / 322
26
69.2%
Facility 69.2%
NC AVG 76.2%
Rank #82 / 335
-
Brookdale Robinwood
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Gastonia
89
Facility 89
NC AVG 72
Rank #125 / 390
Yes
4
Facility 4
NC AVG 33
Rank #506 / 572
-A+
91.50/200
Facility 91.50/200
NC AVG 92.2
Rank #253 / 322
17
76.5%
Facility 76.5%
NC AVG 76.2%
Rank #137 / 335
-
Sunrise of Cary
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (West Chatham Street)
85
Facility 85
NC AVG 72
Rank #135 / 390
Yes
34
Facility 34
NC AVG 33
Rank #271 / 572
40.0%
Facility 40.0%
NC AVG 69.9%
Rank #208 / 246
A-
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 322
18
66.7%
Facility 66.7%
NC AVG 76.2%
Rank #69 / 335
Studio / Suite / 1 Bed
The Arboretum at Woodland Terrace
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Cary (Woodland Terrace)
84
Facility 84
NC AVG 72
Rank #138 / 390
Yes
55
Facility 55
NC AVG 33
Rank #110 / 572
39.3%
Facility 39.3%
NC AVG 69.9%
Rank #211 / 246
-
95.75/200
Facility 95.75/200
NC AVG 92.2
Rank #210 / 322
19
84.2%
Facility 84.2%
NC AVG 76.2%
Rank #239 / 335
Studio / 1 Bed / 2 Bed
Brookdale South Charlotte
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Wessex Square)
82
Facility 82
NC AVG 72
Rank #145 / 390
Yes
16
Facility 16
NC AVG 33
Rank #407 / 572
74.4%
Facility 74.4%
NC AVG 69.9%
Rank #122 / 246
A+
101.50/200
Facility 101.50/200
NC AVG 92.2
Rank #103 / 322
20
80%
Facility 80%
NC AVG 76.2%
Rank #169 / 335
-

Frequently Asked Questions about The Hermitage

Is The Hermitage in a walkable area?

The Hermitage has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Hermitage?

According to NC state health department records, The Hermitage's license number is HAL-050-017.

What is the occupancy rate at The Hermitage?

The Hermitage's occupancy is 71%.

What is the overall rating for The Hermitage?

The Hermitage received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does The Hermitage have?

The Hermitage has 90 beds.

Are there photos of The Hermitage?

Yes — there are 3 photos of The Hermitage in the photo gallery on this page.

What is the address of The Hermitage?

The Hermitage is located at 185 Brick Farm Road Sylva, NC 28779.

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